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The congenital anomalous condition of the left brachiocephalic vein (LBCV) is considered to be a rare anomaly in the thoracic venous system (1). In recent years, wide application of various imaging modalities has improved the detection of these conditions. The prevalence of an anomalous brachiocephalic vein in patients with congenital heart disease is about 0.2–1.7% (1, 2). The exact cause of anomalous brachiocephalic vein remains unknown; currently, three major theories have been proposed to explain this condition (1, 2). Here, we present a case of an incidentally found absence of the LBCV with venous return through the left superior intercostal vein (LSIV) in an adult patient who was studied with thoracic venography and multidetector computed tomography (MDCT).

daehan yeongsang uihak hoeji/daehan yeongsang ui haghoeji

Incidentally Found Absence of the Left Brachiocephalic Vein with Venous Return Through the Left Superior Intercostal Vein in an Adult Patient: Venography and CT Findings